General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0VHXYA
ADC Name
GQ1005
Synonyms
GQ1005; HLX87
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Organization
GeneQuantum Healthcare (Originator);Shanghai Henlius Biotech
Drug Status
Phase 3
Drug-to-Antibody Ratio
4
Structure
Antibody Name
Trastuzumab variant
 Antibody Info 
Antigen Name
Receptor tyrosine-protein kinase erbB-2 (HER2 ECD2); Receptor tyrosine-protein kinase erbB-2 (HER2 ECD4)
 Antigen Info 
Payload Name
DXd
 Payload Info 
Therapeutic Target
DNA topoisomerase 1 (TOP1)
 Target Info 
Linker Name
Mc-Gly-Gly-Phe-Gly (ring-opening derivative)
 Linker Info 
Conjugate Type
Enzymatic Catalysis
Elimination
A pharmacokinetic study revealed that this drug was mainly excreted in the feces. Another study determined that 67% of a dose was excreted in the feces. Unmetabolized DXd was found in the urine. Trastuzumab deruxtecan is rapidly cleared from systemic circulation. Estimated systemic clearance of trastuzumab deruxtecan is 0.42 L/day. DXd showed a systemic clearance of about 19.2 L/h.
The indication landscape of This ADC(2027 Update)
The clinical trial pipeline of This ADC(2027 Update)
Indication Phase 1 Phase 1/2 Phase 2 Phase 2/3 Phase 3 New Drug Application Approved
Breast cancer
1 Trials
Trial ID
CTR20244790
Unspecific solid tumor
1 Trials
Trial ID
NCT06154343; CTR20222855
General Information of The Activity Data Related to This ADC
Identified from the Human Clinical Data
Click To Hide/Show 2 Activity Data Related to This Level
Standard Type NCT Number Clinical Status Clinical Trial Description
Objective Response Rate (ORR)  NCT06154343
PHASE1
A Phase 1, First-In-Human, Multicenter, Open-Label,Dose-Escalation and Extension Study of GQ1005 in Subjects With HER2-Expressing Advanced Solid Tumors
Disease control rate (DCR)  NCT06154343
PHASE1
A Phase 1, First-In-Human, Multicenter, Open-Label,Dose-Escalation and Extension Study of GQ1005 in Subjects With HER2-Expressing Advanced Solid Tumors
Full List of Activity Data of This Antibody-drug Conjugate
Identified from the Human Clinical Data
Click To Hide/Show 2 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [1]
Efficacy Data Objective Response Rate (ORR)
27.60%
Patients Enrolled
Eligible participants are adults (≥18 years) with advanced/metastatic HER2-expressing solid tumors (IHC 1+/2+/3+ or HER2 mutations) who failed or are intolerant to standard therapy. Key inclusion criteria: ECOG 0-1, adequate organ function, measurable lesions per RECIST 1.1, and washout from prior therapies. Exclusion criteria include uncontrolled brain metastases, cardiovascular disease, significant pulmonary conditions, prior topoisomerase I inhibitor-ADCs, active infections (HIV/HBV/HCV), pregnancy, and unresolved toxicity >Grade 1 from prior treatments.

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Administration Dosage
GQ1005 will be administered intravenously every 21 days.
Related Clinical Trial
NCT Number NCT06154343  Clinical Status PHASE1
Clinical Description A Phase 1, First-In-Human, Multicenter, Open-Label,Dose-Escalation and Extension Study of GQ1005 in Subjects With HER2-Expressing Advanced Solid Tumors
Primary Endpoint
The study evaluates the safety and tolerability of GQ1005, including incidence and severity of adverse events (AEs) graded by NCI-CTCAE v5.0, dose-limiting toxicities (DLTs) during the first 21-day cycle, and determination of the maximal tolerance dose (MTD) or recommended phase II dose (RP2D) based on cumulative cohort data.
Other Endpoint
The pharmacokinetics (PK) of GQ1005 will be assessed via maximum concentration (Cmax), time to peak concentration (Tmax), and area under the curve (AUC). Antitumor efficacy measures include overall response rate (ORR), duration of response (DOR), disease control rate (DCR), time-to-response (TTR), progression-free survival (PFS), and overall survival (OS), all evaluated per RECIST 1.1. Immunogenicity will be assessed by anti-drug antibody (ADA) formation.

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Experiment 2 Reporting the Activity Date of This ADC [1]
Efficacy Data Disease control rate (DCR)
69%
Patients Enrolled
Eligible participants are adults (≥18 years) with advanced/metastatic HER2-expressing solid tumors (IHC 1+/2+/3+ or HER2 mutations) who failed or are intolerant to standard therapy. Key inclusion criteria: ECOG 0-1, adequate organ function, measurable lesions per RECIST 1.1, and washout from prior therapies. Exclusion criteria include uncontrolled brain metastases, cardiovascular disease, significant pulmonary conditions, prior topoisomerase I inhibitor-ADCs, active infections (HIV/HBV/HCV), pregnancy, and unresolved toxicity >Grade 1 from prior treatments.

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Administration Dosage
GQ1005 will be administered intravenously every 21 days.
Related Clinical Trial
NCT Number NCT06154343  Clinical Status PHASE1
Clinical Description A Phase 1, First-In-Human, Multicenter, Open-Label,Dose-Escalation and Extension Study of GQ1005 in Subjects With HER2-Expressing Advanced Solid Tumors
Primary Endpoint
The study evaluates the safety and tolerability of GQ1005, including incidence and severity of adverse events (AEs) graded by NCI-CTCAE v5.0, dose-limiting toxicities (DLTs) during the first 21-day cycle, and determination of the maximal tolerance dose (MTD) or recommended phase II dose (RP2D) based on cumulative cohort data.
Other Endpoint
The pharmacokinetics (PK) of GQ1005 will be assessed via maximum concentration (Cmax), time to peak concentration (Tmax), and area under the curve (AUC). Antitumor efficacy measures include overall response rate (ORR), duration of response (DOR), disease control rate (DCR), time-to-response (TTR), progression-free survival (PFS), and overall survival (OS), all evaluated per RECIST 1.1. Immunogenicity will be assessed by anti-drug antibody (ADA) formation.

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References
Ref 1 A Study of GQ1005 in Subjects With HER2-Expressing Advanced Solid Tumors